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Individual

NICOLETTE MABB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, ARNP, PMHNP-BC

Contact information

Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7777
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7777

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6249
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G122642
IA

Other

Enumeration date
08/05/2014
Last updated
05/31/2022
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